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I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid <br />for public works are true and correct. <br />Dated this Z, day of , 20 19 <br />Mw6&op TvO i�O <br />Contractor/ idder (Firm) <br />ignature of actor idder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this day of .20 <br />My Commission Expires <br />County of Residence. <br />Notary Public <br />Version 8 — 02/25/14 <br />